MEDICARE: HEALTH MED HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	20445096	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710942156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH MED HOME CARE LLC

Provider Business Mailing Address
First Line	:	735 NW 22ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3381
Country	:	US
Telephone Number	:	305-207-7383
Fax Number	:	305-207-0324

Provider Business Practice Location Address
First Line	:	735 NW 22ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3381
Country	:	US
Telephone Number	:	305-207-7383
Fax Number	:	305-207-0324

Authorized Official
Title or Position	:	DIRECTOR OF INTEGRATION
Name	:	KELLY LOUISE MCMULLEN
Credential	:
Telephone Number	:	714-567-2906

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	05/11/2026

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Directions to “HEALTH MED HOME CARE LLC ” Practice Location

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